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2019 Plan Rates

Plan Coverage Bi-Weekly Employee Rate Bi-Weekly Employer Rate Bi-Weekly Total Rate  Annual Employee Rate Annual Employer Rate Annual Employer HSA Contribution
Wellness Single
Family
$54.98
$98.48
$211.62
$641.58
$266.60
$740.06
$1,429.48
$2,560.48
$5,502.12
$16,681.08
$1,251.12
$2,502.24
Wellness w/ Non-Tobacco Use Incentive Single
Family
$19.98
$63.48
$211.62
$641.58
$231.60
$705.06
$519.48
$1,650.48
$5,502.12
$16,681.08
$1,251.12
$2,502.24
CDHP 1 Single
Family
$68.84
$138.80
$221.22
$660.78
$290.06
$799.58
$1,789.84
$3,608.80
$5,751.72
$17,180.28
$1,001.52
$2,003.04
CDHP 1 w/ Non-Tobacco Use Incentive Single
Family
$33.84
$103.80
$221.22
$660.78
$255.06
$764.58
$879.84
$2,698.80
$5,751.72
$17,180.28
$1,001.52
$2,003.04
CDHP 2 Single
Family
$159.20
$391.82
$236.70
$691.74
$395.90
$1,083.56
$4,139.20
$10,187.32
$6,154.20
$17,985.24
$599.04
$1,198.08
CDHP 2 w/ Non-Tobacco Use Incentive Single
Family
$124.20
$356.82
$236.70
$691.74
$360.90
$1,048.56
$3,229.20
$9,277.32
$6,154.20
$17,985.24
$599.04
$1,198.08
Traditional PPO Single
Family
$397.40
$1,062.26
$259.74
$737.82
$657.14
$1,800.08
$10,332.40
$27,618.76
$6,753.24
$19,183.32
$0.00
$0.00
Traditional PPO w/ Non-Tobacco Use Incentive Single
Family
$362.40
$1,027.26
$259.74
$737.82
$622.14
$1,765.08
$9,422.40
$26,708.76
$6,753.24
$19,183.32
$0.00
$0.00
Dental Single
Family
$1.32
$3.42
$10.38
$27.30
$11.70
$30.72
$34.32
$88.92
$269.88
$709.80
$0.00
$0.00
Vision Single
Family
$0.42
$3.06
$1.74
$2.22
$2.16
$5.28
$10.92
$79.56
$45.24
$57.72
$0.00
$0.00